Medical Director – LTSS (DE)

The Long Term Services and Support Medical Director will oversee and be responsible for all LTSS and execution of all health care affordability and clinical quality initiatives to achieve goals. The Medical Director is accountable for quality initiatives to improve HEDIS and other quality ratings and collaborates with the local provider community and state regulatory agencies to improve care. Participate in scheduled team meetings and case rounds.

The Medical Director is a seasoned medical professional who faces outward to and interacts with the Plan’s membership and physician community, physician and health system, nursing facilities, home and community based networks, medical/physical professional associates, government representatives, and advocacy groups to advance clinical excellence and the delivery of cost efficient care.

Requirements

MD or DO

Board Certified Physician

An unrestricted state license to practice medicine in any state in which he/she works

Valid driver’s license

Must have five to ten years practice experience, with experience in LTC

Must practice clinically 8 hrs/wk

Minimum five years practice experience in his/her area of specialty

A minimum of 5 years of medical management and general management experience in a managed care environment is preferred.

Proficiency with Microsoft Office Suite (Word, Excel, Power Point). Access is a plus.